PRINCE MEDICINE PC
NPI 1124311915
General Practice in Woodbury, NY

Q: What is Prince Medicine PC's NPI number?

The NPI number for Prince Medicine PC is 1124311915. It was assigned to this organization in the NPPES registry on May 26, 2011.

Q: What is Prince Medicine PC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Active since May 26, 2011

80 CROSSWAYS PARK DR SUITE 200, WOODBURY, NY 11797(516) 802-5025(516) 802-5026 Get Directions Write a Review

NPPES record last updated: June 26, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

On this page

About Prince Medicine Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PRINCE MEDICINE PC (NPI 1124311915) is a healthcare organization registered as a general practice in Woodbury, New York and active in the NPI registry since May 2011. The organization lists Henry K Prince, Presisent, as its authorized official.

NPPES Registry Identity

NPI1124311915

Entity TypeOrganization

Primary Taxonomy208D00000X

Legal Business NamePRINCE MEDICINE PC

Location Address80 CROSSWAYS PARK DR SUITE 200Woodbury, NY 11797-2251

Mailing Address80 Crossways Park Dr Suite 200Woodbury, NY 11797-1179 · (516) 802-5025 · Fax (516) 802-5026

Phone(516) 802-5025

Fax(516) 802-5026

Organization SubpartNo

Authorized OfficialHenry K PrincePresisent · (516) 364-4274

Enumeration DateMay 26, 2011

Last NPPES UpdateJune 26, 2023

NPPES CertifiedJune 26, 2023

✔ NPI 1124311915 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

80 CROSSWAYS PARK DR SUITE 200, Woodbury, NY 11797

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Prince Medicine Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date

StateNew YorkEnrollment IDO20110719000338Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027

Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to Prince Medicine PC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Henry Prince, M.D.

Obstetrics/Gynecology

NPI 1518043173

40 CROSSWAYS PARK DR STE 101
Woodbury, NY 11797

(516) 496-3900

✔ PECOS✔ Accepts Medicare0.1 mi

Alan Katz, M.D.

Emergency Medicine

NPI 1760468540

1117 OLD COUNTRY RD
Plainview, NY 11803

(516) 938-5900

✔ PECOS✔ Accepts Medicare2.6 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Prince Medicine PC's NPI number?

The NPI number for Prince Medicine PC is 1124311915. It was assigned to this organization in the NPPES registry on May 26, 2011.

Where is Prince Medicine PC located?

Prince Medicine PC is located at 80 Crossways Park Dr Suite 200, Woodbury, NY 11797. The listed phone number is (516) 802-5025.

What is Prince Medicine PC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Prince Medicine PC enrolled in Medicare?

Yes. Prince Medicine PC is registered in the Medicare PECOS enrollment system.

When is Prince Medicine PC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New York, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Prince Medicine PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Prince Medicine PC, in Emergency Medicine and Obstetrics/Gynecology. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Prince Medicine PC was last updated on June 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.